ASIAN NURSING COLLEGE

1 Student & Course Details

Student's Full Name *

Father's Name *

Mother's Name *

Parent/Guardian Occupation

Course * Select course A.N.M.

Session * Select session 2026–2027 2027–2028 2028–2029

Date of Birth *

Blood Group Select A+A- B+B- AB+AB- O+O-

Nationality *

Caste / Category * Select category General EWS BC-I BC-II SC ST Other

Mother Tongue

Applicant Email *

Recent Passport-size Colour Photograph * Click to upload photograph JPG/PNG, maximum 2 MB

Mobile Number 1 *

Mobile Number 2

Aadhaar Number * Enter digits only, without spaces.

Identification Mark

2 Address Details

3 Educational / Technical Qualification

4 Documents & Declaration

Select the self-attested documents being submitted with this application.